Would the following scenario be compliant? The patient is assessed and managed in an outpatient fracture clinic. The practitioner determines that non-operative management is appropriate and ap…
read more >Items 47361 and 47387 both describe treatment of a fracture of the radius and/or ulna by cast immobilisation, but their anatomical scope overlaps in the wording – 47361 is limited to the “dist…
read more >When one of the T8 fracture items (47387, 47348, 47354, 47561, 47411, 47423, 47444, 47453, 47462, 47543, 47579, 47595 and 47015) is billed, can the practice separately charge the patient for c…
read more >Where a T8 item descriptor uses the word “treatment” without specifying a procedure (e.g. reduction, cast, splint), can treatment be satisfied by clinical assessment, diagnosis and implementat…
read more >Re Provider eligibility, can GPs bill these T8 items in an outpatient fracture clinic setting, and if so, what specific provider eligibility requirements apply? Non-surgical T8 item numbers: …
read more >Are there restrictions on co-claiming item 36 alongside the T8 fracture/dislocation treatment items?
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read more >I’d appreciate clarification on what constitutes “cast immobilisation” under the MBS, using item 47361 as an example. In practice, distal radius/ulna fractures presenting acutely are very comm…
read more >This question came to us from a private health insurer as follows:
30-year male member undergoes procedures 49578 & 49580 as a same day patient in a private hospital, all claims paid at t…
If a principal spinal surgeon is performing an anterior spinal fusion and a vascular surgeon is required to provide anterior exposure, are both surgeons eligible to invoice for their separate …
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